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Non-Small Cell Lung CancerPhase 1NCT04449874

A Study to Evaluate the Safety, Pharmacokinetics, and Activity of GDC-6036 Alone or in Combination in Participants With Advanced or Metastatic Solid Tumors With a KRAS G12C Mutation

A Phase 1 study testing GDC-6036, Atezolizumab and Cetuximab in people with Non-Small Cell Lung Cancer and Colorectal Cancer, run by Genentech, Inc. at 63 sites in 17 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This is a Phase I dose-escalation and dose-expansion study that will evaluate the safety, pharmacokinetics (PK), and preliminary activity of GDC-6036 in patients with advanced or metastatic solid tumors with a KRAS G12C mutation. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
GDC-6036, Atezolizumab and Cetuximab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
498 participants
Where
63 sitesin 17 countries
Study dates
29 Jul 2020to 31 Dec 2027
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically documented advanced or metastatic solid tumor with KRAS G12C mutation.
  • Women of childbearing potential must agree to remain abstinent or use contraception, and agree to refrain from donating eggs during the treatment period and after the final dose of study treatment as specified in the protocol.
  • Men who are not surgically sterile must agree to remain abstinent or use a condom, and agreement to refrain from donating sperm during the treatment period and after the final dose of study treatment as specified in the protocol.

Who cannot join

  • Active brain metastases.
  • Malabsorption or other condition that interferes with enteral absorption.
  • Clinically significant cardiovascular dysfunction or liver disease.

Trial locations and contacts

63 sites in 17 countries.

63 sites in 17 countries

United States9 sites
  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215

  • City of Hope Comprehensive Cancer Center

    Duarte, California, 91010

  • UCSD Moores Cancer Center

    La Jolla, California, 92093

  • Yale Cancer Center

    New Haven, Connecticut, 06511

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10021

  • University of Oklahoma

    Oklahoma City, Oklahoma, 73104

  • Chao Family Comprehensive Cancer Center UCI

    Orange, California, 92868

  • UPMC - Hillman Cancer Center

    Pittsburgh, Pennsylvania, 15232

  • Florida Cancer Specialists - Sarasota

    Sarasota, Florida, 34232

Other trials in United States

Brazil7 sites
  • Santa Casa de Misericordia de Belo Horizonte - PPDS

    Belo Horizonte, Minas Gerais, 30150-221

  • Universidade de Caxias do Sul

    Caxias do Sul, Rio Grande do Sul, 95070-561

  • Hospital Erasto Gaertner

    Curitiba, Paraná, 81520-060

  • Hospital de Clinicas de Porto Alegre HCPA PPDS

    Porto Alegre, Pará, 90035-903

  • Hospital Sao Lucas Da Pontificia Universidade Catolica Do Rio Grande Do Sul (PUCRS)

    Porto Alegre, Rio Grande do Sul, 90610-000

  • Instituto Nacional de Câncer

    Rio de Janeiro, 20230-130

  • Fundacao Faculdade Regional de Medicina de Sao Jose Do Rio Preto Hospital de Base - PPDS

    São José do Rio Preto, São Paulo, 15090-000

Other trials in Brazil

Spain7 sites
  • Hospital Universitari Vall d'Hebron

    Barcelona, 08035

  • START Madrid-FJD, Hospital Fundacion Jimenez Diaz

    Madrid, 28040

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Hospital Universitario HM Sanchinarro-CIOCC

    Madrid, 28050

  • Hospital Clinico Universitario Virgen de la Victoria

    Málaga, 29010

  • Hospital Universitario Virgen del Rocío

    Seville, 41013

  • Hospital Clinico Universitario de Valencia

    Valencia, 46010

Other trials in Spain

Italy5 sites
  • Istituto Scientifico Romagnolo Per Lo Studio E La Cura Dei Tumori IRST - PPDS

    Meldola, Emilia-Romagna, 47014

  • Irccs Ospedale San Raffaele

    Milan, Lombardy, 20132

  • Asst Grande Ospedale Metropolitano Niguarda

    Milan, Lombardy, 20162

  • Azienda Ospedaliero Universitaria Pisana

    Pisa, Tuscany, 56100

  • Istituto Clinico Humanitas

    Rozzano (MI), Lombardy, 20089

Other trials in Italy

Australia4 sites
  • Peter MacCallum Cancer Center

    Melbourne, Victoria, 3000

  • Alfred Health

    Melbourne, Victoria, 3004

  • Slade Health Inward goods

    Mount Kuring-Gai, New South Wales, 2080

  • Linear Clinical Research Limited

    Nedlands, Western Australia, 6009

Other trials in Australia

Netherlands4 sites
  • Het Nederlands Kanker Instituut Antoni Van Leeuwenhoek Ziekenhuis

    Amsterdam, 1066 CX

  • Leids Universitair Medisch Centrum

    Leiden, 2333 ZA

  • Maastricht University Medical Center

    Maastricht, 6229 HX

  • Universitair Medisch Centrum Utrecht

    Utrecht, 3584 CX

Other trials in Netherlands

South Korea4 sites
  • Seoul National University Bundang Hospital

    Seongnam-si, 13605

  • Seoul National University Hospital

    Seoul, 03080

  • Asan Medical Center - PPDS

    Seoul, 05505

  • Samsung Medical Center - PPDS

    Seoul, 06351

Other trials in South Korea

United Kingdom4 sites
  • Queen Elizabeth Hospital

    Birmingham, B15 2GW

  • Velindre Cancer Centre

    Cardiff, CF14 2TL

  • NIHR UCLH Clinical Research Facility

    London, W1T 7HA

  • The Christie NHS Foundation Trust

    Manchester, M20 4BX

Other trials in United Kingdom

Belgium3 sites
  • UZ Antwerpen

    Edegem, 2650

  • CHU de Liège

    Liège, 4000

  • AZ St Maarten Campus Leopoldstr

    Mechelen, 2800

Other trials in Belgium

Canada3 sites
  • Jewish General Hospital

    Montreal, Quebec, H3T 1E2

  • Ottawa Hospital

    Ottawa, Ontario, K1H 8L6

  • Princess Margaret Cancer Centre

    Toronto, Ontario, M5G 2M9

Other trials in Canada

New Zealand3 sites
  • Auckland City Hospital, Cancer and Blood Research

    Auckland, 1023

  • Auckland City Hospital

    Auckland

  • New Zealand Clinical Research - Christchurch

    Christchurch

Other trials in New Zealand

Israel2 sites
  • Rambam Medical Center

    Haifa, 3109601

  • Tel-Aviv Sourasky Medical Center

    Tel Aviv, 6423906

Other trials in Israel

Norway2 sites
  • Haukeland University Hospital

    Bergen, 5020

  • Oslo university hospital Radiumhospitalet

    Oslo, 0424

Other trials in Norway

Poland2 sites
  • Uniwersyteckie Centrum Kliniczne, O?rodek Bada? Klinicznych Wczesnych Faz

    Gdansk, 80-214

  • Biokinetica, Przychodnia Jozefow

    Józefów, 05-410

Other trials in Poland

Switzerland2 sites
  • Inselspital

    Bern, 3010

  • Hôpitaux Universitaires de Genève

    Geneva, 1211

Other trials in Switzerland

Hungary1 site
  • Clinexpert Gyongyos Kft

    Gyöngyös, 3200

Other trials in Hungary

Kenya1 site
  • The Aga Khan University-Kenya.

    Nairobi, 00100

Other trials in Kenya

About this study

Official title: A Phase Ia/Ib Dose-Escalation and Dose-Expansion Study Evaluating the Safety, Pharmacokinetics, and Activity of GDC-6036 as a Single Agent and in Combination With Other Anti-cancer Therapies in Patients With Advanced or Metastatic Solid Tumors With a KRAS G12C Mutation

This is a Phase I dose-escalation and dose-expansion study that will evaluate the safety, pharmacokinetics (PK), and preliminary activity of GDC-6036 in patients with advanced or metastatic solid tumors with a KRAS G12C mutation.

Being tested
GDC-6036, Atezolizumab, Cetuximab, Bevacizumab, Erlotinib
Keywords
KRAS G12C, Non-Small Cell Lung Cancer, Colorectal Cancer, GDC-6036, Metastatic Solid Tumor, Atezolizumab, Bevacizumab, Cetuximab, Erlotinib, Inavolisib, GDC-1971, SHP2
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Colorectal Neoplasms, Neoplasm Metastasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GDC-6036Drug

    The starting dose of GDC-6036 in the combination Arms B, C, D, E, F and G will be determined from Stage I Arm A (single-agent dose escalation).

  • AtezolizumabDrug

    A 1200 milligram (mg) intravenous (IV) infusion of atezolizumab will be administered on Day 1 of 21 day cycles.

  • CetuximabDrug

    Cetuximab will be administered at an initial dose of 400 milligram per square meter (mg/m^2) IV infusion followed by 250 mg/m^2 IV infusion weekly in 21 day cycles.

  • BevacizumabDrug

    A 15 milligram per kilogram (mg/kg) IV infusion of bevacizumab will be administered on Day 1 of 21 day cycles.

  • ErlotinibDrug

    150 mg of erlotinib will be administered PO QD in 21 day cycles.

  • GDC-1971Drug

    The starting dose of GDC-1971 will be determined from its single-agent dose escalation.

  • InavolisibDrug

    The starting dose of inavolisib will be determined from its single-agent dose escalation.

Study groups in NCT04449874
Study groupRoleWhat they receive
Arm A: Dose-escalation (Stage I), Dose Expansion (Stage II)ExperimentalParticipants in Stage I will receive GDC-6036 administered orally once daily (PO QD). The dose will be increased in successive cohorts until a study-specific threshold is reached. Participants with select solid tumors will be treated with GDC-6036 PO QD in Stage II.
Receives: Drug: GDC-6036
Arm B: GDC-6036 + Atezolizumab (Stage I and Stage II)ExperimentalParticipants with non-small cell lung cancer will receive GDC-6036 in combination with atezolizumab.
Receives: Drug: GDC-6036; Drug: Atezolizumab
Arm C: GDC-6036 + Cetuximab (Stage I and Stage II)ExperimentalParticipants with colorectal cancer will receive GDC-6036 in combination with cetuximab.
Receives: Drug: GDC-6036; Drug: Cetuximab
Arm D: GDC-6036 + Bevacizumab (Stage I and Stage II)ExperimentalParticipants with solid tumors will receive GDC-6036 in combination with bevacizumab.
Receives: Drug: GDC-6036; Drug: Bevacizumab
Arm E: GDC-6036 + Erlotinib (Stage I and Stage II)ExperimentalParticipants with non-small cell lung cancer will receive GDC-6036 in combination with erlotinib.
Receives: Drug: GDC-6036; Drug: Erlotinib
Arm F: GDC-6036 + GDC-1971 (Stage I and Stage II)ExperimentalParticipants with solid tumors will receive GDC-6036 in combination with GDC-1971 PO in Stage I. Participants with select solid tumors will be treated with GDC-6036 in combination with GDC-1971 PO in Stage II.
Receives: Drug: GDC-6036; Drug: GDC-1971
Arm G: GDC-6036 + Inavolisib (Stage I and Stage II)ExperimentalParticipants with solid tumors will receive GDC-6036 in combination with inavolisib PO in Stage I. Participants with select solid tumors will be treated with GDC-6036 in combination with inavolisib PO in Stage II.
Receives: Drug: GDC-6036; Drug: Inavolisib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Adverse Events (AEs)

    Severity is determined according to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)

    Measured: From Cycle 1 Day 1 until 28 days after the final dose (or as specified in the protocol). A cycle is 21 days.

  2. Percentage of Participants With Dose-Limiting Toxicities (DLTs)

    Measured: From Cycle 1 Day 1 through Day 21. A cycle is 21 days.

Secondary outcomes (12)
  1. Plasma Concentrations of GDC-6036

    Measured: Various timepoints from Cycle 1 Day 1 through study treatment discontinuation (within 28 days after the final dose of study drug). A cycle is 21 days.

  2. Plasma Concentrations of Erlotinib

    Measured: Various timepoints from Cycle 1 Day 1 through study treatment discontinuation (within 28 days after the final dose of study drug). A cycle is 21 days.

  3. Plasma Concentrations of GDC-1971

    Measured: Various timepoints from Cycle 1 Day 1 through study treatment discontinuation (within 28 days after the final dose of study drug). A cycle is 21 days.

  4. Plasma Concentrations of Inavolisib

    Measured: Various timepoints from Cycle 1 Day 1 through study treatment discontinuation (within 28 days after the final dose of study drug). A cycle is 21 days.

  5. Objective Response Rate (ORR) as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1)

    Measured: Every 6 weeks from Cycle 1 Day 1 until study treatment discontinuation (within 28 days after the final dose of study drug). A cycle is 21 days.

  6. Duration of Response (DOR) as Determined by the Investigator According to RECIST v1.1

    Measured: Every 6 weeks from Cycle 1 Day 1 until study treatment discontinuation (within 28 days after the final dose of study drug). A cycle is 21 days.

  7. Progression-free survival (PFS) as determined by the investigator according to RECIST v1.1

    Measured: Every 6 weeks from Cycle 1 Day 1 until study treatment discontinuation (within 28 days after the final dose of study drug). A cycle is 21 days.

  8. Relationship Between GDC-6036 Exposure (Maximum Plasma Concentration Observed [Cmax])

    Measured: Various timepoints from Cycle 1 Day 1 through study treatment discontinuation (within 28 days after the final dose of study drug). A cycle is 21 days.

  9. Relationship Between GDC-6036 Exposure (Time to Maximum Plasma Concentration [Tmax])

    Measured: Various timepoints from Cycle 1 Day 1 through study treatment discontinuation (within 28 days after the final dose of study drug). A cycle is 21 days.

  10. Relationship Between GDC-6036 Exposure (Half-life [t1/2])

    Measured: Various timepoints from Cycle 1 Day 1 through study treatment discontinuation (within 28 days after the final dose of study drug). A cycle is 21 days.

  11. Relationship Between GDC-6036 Exposure (Area Under the Curve [AUC])

    Measured: Various timepoints from Cycle 1 Day 1 through study treatment discontinuation (within 28 days after the final dose of study drug). A cycle is 21 days.

  12. Relationship Between Tumor Pharmacodynamic Effects of GDC-6036

    Measured: Various timepoints from Cycle 1 Day 1 through study treatment discontinuation (within 28 days after the final dose of study drug). A cycle is 21 days.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jun 2020
  2. Study start29 Jul 2020
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
498 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04449874
Sponsor's protocol ID
GO42144
Other IDs
2020-000084-22, 2023-506311-18-00, 2023
Status last verified
Aug 2026
First submitted
24 Jun 2020
Last updated
28 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Sacher AG, Miller WH Jr, Patel MR, Paz-Ares L, Santoro A, Ahn MJ, Dziadziuszko R, Freres P, Luo J, Bowyer S, Desai J, Markman B, De Miguel M, Deva S, Falcon A, Alonso G, Guedes JD, Kim SH, Krebs MG, Laurie SA, Massarelli E, Medina L, Prenen H, Amatu A, Van Dongen M, Choi Y, Hou X, Qi T, Lin MT, Koli K, Mayo MC, Yau KK, Royer-Joo S, Chang J, Jun T, Dharia NV, Schutzman JL, Lorusso P; GO42144 Investigator Study group; GO42144 Investigator Study Group. Single-Agent Divarasib in Patients With KRAS G12C-Positive Non-Small Cell Lung Cancer: Long-Term Follow-Up of a Phase I Study. J Clin Oncol. 2025 Oct 20;43(30):3249-3253. doi: 10.1200/JCO-25-00040. Epub 2025 Jul 9.

    PubMed 40632992
  • Desai J, Alonso G, Kim SH, Cervantes A, Karasic T, Medina L, Shacham-Shmueli E, Cosman R, Falcon A, Gort E, Guren T, Massarelli E, Miller WH Jr, Paz-Ares L, Prenen H, Amatu A, Cremolini C, Kim TW, Moreno V, Ou SI, Passardi A, Sacher A, Santoro A, Stec R, Ulahannan S, Arbour K, Lorusso P, Luo J, Patel MR, Choi Y, Shi Z, Mandlekar S, Lin MT, Royer-Joo S, Chang J, Jun T, Dharia NV, Schutzman JL; GO42144 Investigator and Study Group; Han SW. Divarasib plus cetuximab in KRAS G12C-positive colorectal cancer: a phase 1b trial. Nat Med. 2024 Jan;30(1):271-278. doi: 10.1038/s41591-023-02696-8. Epub 2023 Dec 5.

    PubMed 38052910
  • Sacher A, LoRusso P, Patel MR, Miller WH Jr, Garralda E, Forster MD, Santoro A, Falcon A, Kim TW, Paz-Ares L, Bowyer S, de Miguel M, Han SW, Krebs MG, Lee JS, Cheng ML, Arbour K, Massarelli E, Choi Y, Shi Z, Mandlekar S, Lin MT, Royer-Joo S, Chang J, Dharia NV, Schutzman JL, Desai J; GO42144 Investigator and Study Group. Single-Agent Divarasib (GDC-6036) in Solid Tumors with a KRAS G12C Mutation. N Engl J Med. 2023 Aug 24;389(8):710-721. doi: 10.1056/NEJMoa2303810.

    PubMed 37611121

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing GDC-6036, Atezolizumab and Cetuximab in people with Non-Small Cell Lung Cancer and Colorectal Cancer, run by Genentech, Inc. at 63 sites in 17 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 28 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 63 sites in United States, Brazil, Spain, Italy, Australia and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Adverse Events (AEs) (time frame: From Cycle 1 Day 1 until 28 days after the final dose (or as specified in the protocol). A cycle is 21 days.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04449874, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Aug 2026.

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Clinical Trial NCT04449874 | AzTrials